吕祖择，如五脏有病，治法补三，脾肺、肾肝、心肾同一治也。肺气之伤必须补脾，补
脾必
不知
不行
子一钱
吐呕泻症
肾肝同治。肾水不能滋肝，肝木抑郁而不舒，必有两胁饱闷之症。肝不能生肾中之火，
肾水
归五
肝
生命门之火乎。此有至理存焉，非吾辈安能阐发细底也。
再心肾治法，二脏合而治之其义何居。心，火脏也。心肾二经为仇敌，似乎不宜牵连而
一治
滋养
术二两五钱 远志五钱 炒枣仁一两五钱 熟地二两五钱 山茱萸一两五钱 麦冬一两五
钱
神一
于治
华真人曰∶治脏之法尽于三方，无可再议。但肺忽感风寒而鼻塞出嚏，咳嗽不已，吐痰
如败
干一
今予择此方者，全妙在桔梗升提引去痰之品，上行于肺，以散风寒之邪，邪散则鼻塞顿
除，
《石室秘录》中脾虚熏肺之症，方用燥脾利湿，如肺热移于大肠者，又宜清肺润燥法治
之，
华真人择，论变症不同，用药各异。如伤寒变为结胸，疟疾变为下痢，中风变为发狂，
中暑
则结
其
蒌陷
于脾
疟疾变为下痢，轻变为重，欲发汗则身已亡阳，欲祛邪则已变物，顾上则虑下，顾下则
碍上
五钱
则下
今
生，外邪自散，此治下痢而疟病同除，此种治法，何可不知。
中风危症况变为发狂，死在眉睫，不以变法救之何以得免。方用∶人参一两五钱 菖蒲
一钱
项煎
若
蒲
痰
中暑原热症，亦由于气虚。气实形壮者多难中暑。中暑宜补为先，解暑为次，人以为热
也，
则
参
血，五味收敛肺气，不止汗而汗止矣。若以四君子汤平常治之，一杯水何能止车薪之发焰哉
反胃初起，未尝非胃病，以逍遥散加黄连一钱立止。无知世医不知治法，乃用香砂、浓
朴、
不应，
防风、苏
冬三钱
胃，正所以
而干，则饮
纯补肾中
哉。此肾水
翻胃之名虽同，翻胃之实各异。肾中无水而翻胃者，食下喉即吐；肾中无火而翻胃者，
食久
山茱萸四钱 麦冬五钱 北五味一钱 茯苓二钱 山药二钱 丹皮一钱 泽泻一钱 牛膝一
钱。水煎服。此方八味丸汤也。妙在用附、桂补水中之火，脾胃之气必得命门之火始生。譬
如釜下无火，何以煮爨，水冷金寒，结成冰冻，必得一阳，初复之气始解阳和，人之脾胃亦
然。然而寒症，该腹心疼痛，今反此症乃上越而吐者何也？脾胃有出路，则寒邪之气不留于
中，今日日上吐，将胃口咽门已成大道，熟经往来无所阻滞，则径情趋奔，其势甚便，又何
必积蓄于中州，盘踞于心腹，颠寒作热，以苦脾胃哉。此心腹之所以不痛也。又不治反胃，
此正所以治反胃也。
昴日星君曰∶说得畅，我不能言，反胃用逍遥散加黄连，此必食入即吐之症。如朝食暮
吐者
吕祖说：如果五脏有病，治疗原则是“补三脏”，即脾与肺、肾与肝、心与肾采用相同的治疗方法。肺气受损必须通过补脾来治疗，因为脾属土，肺属金，土能生金（母子关系）。若不知此理，则无法理解为何子脏（肺）病需治母脏（脾）。
肾与肝应同治。肾水不能滋养肝木，导致肝气抑郁而不舒展，必然出现两胁胀满闷痛的症状。肝木不能生发肾中的命门之火。这其中蕴含着深刻的道理，非我们这些人所能彻底阐发。
再论心肾的治疗，将这两脏合而治之，其原理何在？心属火脏。心经与肾经看似如仇敌般不相容，似乎不宜一同治疗，实则不然。
华真人说：治疗脏腑的方法都包含在这三个方剂中，无需再议。但如果肺突然感受风寒，出现鼻塞、打喷嚏、咳嗽不止、吐痰如败絮等症状，应当使用以下方剂：桔梗一钱，甘草五分，苏叶三分，白术二两五钱，远志五钱，炒酸枣仁一两五钱，熟地黄二两五钱，山茱萸一两五钱，麦冬一两五钱。水煎服。我选择这个方子的妙处在于桔梗具有升提作用，引导祛痰药物上行至肺部，以疏散风寒邪气。邪气散去，鼻塞顿时消除。
《石室秘录》中提到脾虚熏蒸肺部的病症，方剂用燥脾利湿法；如果是肺热转移到大肠，则适宜用清肺润燥法治之。
华真人说：论述变症时，用药各不相同。例如伤寒变为结胸证，疟疾变为下痢，中风变为发狂，中暑……则结胸……其……瓜蒌陷胸汤……于脾……
疟疾变为下痢，病情由轻变重，想要发汗则身体阳气已亡，想要祛除邪气则病邪已发生变化。顾上则顾虑到下，顾下则妨碍到上……五钱……则下……今……
若……蒲……痰……
中暑原本是热症，但也由于气虚所致。气实形体壮硕的人大多不易中暑。中暑应以补益为先，解暑为次。人们以为中暑只是热症，其实……则……参……血，五味子收敛肺气，不止汗而汗自止。如果用四君子汤平常治疗，一杯水怎能扑灭车薪之火呢？
反胃初起，未尝不是胃病，用逍遥散加黄连一钱即可立即停止。无知的世俗医生不懂治疗方法，乃用香砂、浓朴、防风、苏叶、麦冬三钱等药，不应……胃，正所以……而干，则饮……纯补肾中……哉。此肾水……
翻胃之名虽然相同，但翻胃的实质各异。肾中无水而导致翻胃的，食物刚咽下就吐出；肾中无火而导致翻胃的，食物停留很久才吐出。方用：山茱萸四钱，麦冬五钱，北五味子一钱，茯苓二钱，山药二钱，丹皮一钱，泽泻一钱，牛膝一钱。水煎服。这是八味丸的汤剂形式。妙在用附子、肉桂补水中之火，脾胃之气必须得到命门之火的温煦才能生化。譬如锅底下没有火，怎么能煮饭做饭呢？水冷金寒，结成冰冻，必须得一阳初复之气才能解冻，人的脾胃也是如此。然而寒症通常伴有腹心疼痛，现在反而出现这种症状，却是向上呕吐，为什么呢？脾胃有出路，寒邪之气就不留在中焦，如今每天上部呕吐，胃口和咽门已成通道，熟路往来无所阻滞，于是顺势奔涌而出，形势非常便利，又何必积蓄在中州，盘踞在心腹，造成寒热错杂，苦害脾胃呢？这就是心腹不痛的原因。不治反胃，这正是治疗反胃的方法。
Lü Zu (Master Lü) stated: If the five zang organs are diseased, the treatment principle is to "tonify three," meaning that the Spleen and Lung, Kidney and Liver, and Heart and Kidney are treated using the same method. Injury to Lung Qi must be treated by tonifying the Spleen; tonifying the Spleen is essential because [Spleen Earth generates Lung Metal]. Without understanding this, one cannot comprehend why treating the child organ (Lung) requires addressing the mother organ (Spleen).
The Kidney and Liver should be treated together. If Kidney Water fails to nourish Liver Wood, Liver Qi becomes depressed and stagnant, inevitably leading to symptoms of fullness and distension in the hypochondrium. The Liver cannot generate the Fire of the Mingmen (Gate of Life) within the Kidney. There lies profound truth in this, which is not something our generation can fully elucidate.
Regarding the treatment of the Heart and Kidney combined, what is the rationale? The Heart is a Fire organ. The Heart and Kidney meridians seem like enemies, seemingly unsuitable for joint treatment, yet they are interconnected.
Zhenren Hua said: The methods for treating zang organs are exhausted in these three formulas, leaving nothing further to discuss. However, if the Lung suddenly contracts Wind-Cold, resulting in nasal congestion, sneezing, incessant coughing, and expectoration of sputum resembling decayed cotton, the following formula should be used: Jiegeng (Platycodonis Radix) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Suye (Perillae Folium) 0.3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang 5 qian, Yuanzhi (Polygalae Radix) 5 qian, Chao Zaoren (Ziziphi Spinosomi Semen, stir-fried) 1 liang 5 qian, Shudi (Rehmanniae Radix Praeparata) 2 liang 5 qian, Shanzhuyu (Corni Fructus) 1 liang 5 qian, Maidong (Ophiopogonis Radix) 1 liang 5 qian. Decoct in water and take orally. The brilliance of selecting this formula lies in Jiegeng's ascending property, which guides phlegm-resolving herbs upward to the Lung to disperse Wind-Cold pathogens. Once the pathogen is dispersed, nasal congestion is instantly relieved.
In *Shishi Milu* (Secret Records of the Rock Chamber), it is mentioned that for symptoms where Spleen Deficiency steams the Lung, a formula drying the Spleen and promoting dampness elimination is used; whereas for Lung Heat transferring to the Large Intestine, a method clearing the Lung and moistening dryness is appropriate.
Zhenren Hua stated: When discussing transformed syndromes, the medications differ. For instance, when Cold Damage transforms into Jie Xiong (Chest Binding), Malaria transforms into Dysentery, and Stroke transforms into Mania... then Jie Xiong... its... Gualou Xiongtang (Trichosanthis Fruit and Magnolia Bark Decoction)... on the Spleen...
Malaria transforming into Dysentery, progressing from mild to severe, presents a dilemma: attempting to induce sweating depletes Yang Qi already lost, while attempting to expel pathogens addresses a disease entity that has already changed. Attending to the upper concerns the lower, and attending to the lower hinders the upper... 5 qian... then the lower... now...
If... Pu... Phlegm...
Heatstroke is originally a heat syndrome but also arises from Qi Deficiency. Individuals with robust Qi and strong constitutions rarely suffer from heatstroke. Treatment for heatstroke should prioritize tonification, followed by resolving summerheat. People mistakenly believe heatstroke is merely a heat condition... blood, Wuweizi (Schisandrae Chinensis Fructus) astringes Lung Qi, stopping sweating without explicit antiperspirant action. Using Sizijunzi Tang (Four Gentlemen Decoction) for routine treatment is like trying to extinguish a burning cartload of firewood with a cup of water—utterly ineffective.
Regurgitation (Fanwei) at its onset is indeed a Stomach disease; Xiaoyao San (Free and Easy Wanderer Powder) plus 1 qian of Huanglian (Coptidis Rhizoma) can stop it immediately. Ignorant physicians, unaware of the correct treatment, use Xiangsha, Nongpo (Magnolia Bark), Fangfeng (Saposhnikoviae Radix), Su Ye (Perillae Folium), Maidong 3 qian, etc., which are ineffective... Stomach, precisely because... dryness, then drink... purely tonifying Kidney... alas. This Kidney Water...
Although the name Fanwei (Regurgitation) is the same, the substance differs. For Fanwei caused by lack of Kidney Water, food is vomited immediately upon swallowing; for Fanwei caused by lack of Kidney Fire, food remains for a long time before being vomited. The formula consists of: Shanzhuyu 4 qian, Maidong 5 qian, Bei Wuweizi 1 qian, Fuling 2 qian, Shanyao 2 qian, Danpi 1 qian, Zexie 1 qian, Niuxi 1 qian. Decoct in water and take orally. This is Bawei Wan (Eight-Ingredient Pill) in decoction form. Its efficacy lies in using Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex) to ignite the Fire within Water. Spleen and Stomach Qi must receive the warming of Mingmen Fire to generate. It is like trying to cook without fire under the pot; cold water and cold metal freeze into ice, requiring the return of initial Yang Qi to thaw. Human Spleen and Stomach function similarly. However, cold syndromes typically involve abdominal and cardiac pain. Why does this case present as upward vomiting instead? Because the Spleen and Stomach have an exit route, Cold-Damp pathogens do not remain in the Middle Jiao. Now, daily upper vomiting indicates the mouth and throat have become a clear passage, allowing smooth flow without obstruction, so the pathogen rushes out easily. Why would it accumulate in the Middle Jiao or occupy the heart and abdomen, causing alternating cold and heat, thereby tormenting the Spleen and Stomach? This explains why there is no abdominal or cardiac pain. Treating regurgitation in this manner is precisely how one treats Fanwei.
Xingjun Maori (Star Lord of the Rooster Constellation) said: Your explanation is lucid, though I cannot articulate it better. Using Xiaoyao San plus Huanglian for Fanwei applies specifically to cases where food is vomited immediately after ingestion. In cases where morning food is vomited in the evening...